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1659538429
AILEEN IBANEZ
MILLEDGEVILLE, GA
NPI
1659538429
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: GA 007662)
Enumeration Date
2008-05-20
Last Update Date
2008-05-20
Business Address
-- AILEEN IBANEZ MPT
2249 VINSON HWY SE
MILLEDGEVILLE, GA 31061-4807
Phone number: 478-453-0163
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Mailing Address
-- AILEEN IBANEZ MPT
849 PARKVIEW DR
MACON, GA 31211-1422
Phone number: 478-238-9641
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